|
|
|
| Psychological distress and related factors of patients with primary liver cancer |
| HE Ye1 WANG Xiao-song2 HU Si-jun1 WANG Xing-ying3▲ FAN Shi-lan1 HUANG Fang1 |
1. Department of Hepatology, Jiangxi Provincial Cancer Hospital, Jiangxi Province, Nanchang 330029, China;
2. The First Divistion of Department of Breast Surgery, Jiangxi Provincial Cancer Hospital, Jiangxi Province, Nanchang 330029, China;
3. The First Department of Chest Radiology, Jiangxi Provincial Cancer Hospital, Jiangxi Province, Nanchang 330029, China |
|
|
|
|
Abstract Objective To explore the psychological distress and related factors of patients with primary liver cancer.Methods The clinical data of 450 patients with primary liver cancer admitted to our hospital from October 2018 to May 2019 were retrospectively analyzed. All patients were screened by psychological distress screening tool (DMSM) questionnaire. A total of 150 cases with the degree of pain ≥4 points were in the observation group, and 300 cases with the degree of pain less than 4 points were the control group. The related data of the two groups were compared, and the influencing factors that may cause psychological pain were recorded and analyzed. Results The results of single factor analysis indicated that there were statistically significant differences between the two groups in age, education level,sleep disorders, disease understanding, medical burden, and adverse emotions (P＜0.05); the results of multifactor analysis indicated that the age was ≥40 years old (β= 0.693, OR=2.000, 95%CI=1.330-3.008), high school education and below (β=1.012, OR=2.750, 95%CI=1.795-4.214), had sleep disturbance (β=1.323, OR=3.755, 95%CI=2.416-5.837) ,low level of disease understanding (β=1.986, OR= 7.286, 95%CI=4.053-13.097), medical burden (β=0.700, OR=2.015,95%CI=1.343-3.022), had bad emotions (β= 1.880, OR=3.279, 95%CI= 2.129-5.052) were the risk factors for the psychological pain of patients with primary liver cancer (P＜0.05). Conclusion In view of the risk factors that cause the suffering of patients with primary liver cancer, we should increase the degree of attention and take effective measures to reduce the degree of pain in patients.
|
|
|
|
|
|
| [1] |
葛均波，徐永健，王辰，等.内科学[M].9 版.北京：人民卫生出版社，2018：415-419.
|
| [2] |
魏红涛，薛晓伟，刘晖，等.肝细胞癌组织尾加压素受体Ⅱ的表达与肝癌分期之间的关系[J].临床和实验医学杂志，2019，18（10）：1055-1058.
|
| [3] |
翁丹茜，雷叶静，林凌云.原发性肝癌患者心理现状调查及其影响因素研究[J].护士进修杂志，2018，33（23）：69-71.
|
| [4] |
江丹丹，陈红宇，胡君娥.心理痛苦筛查工具在肺癌患者中的应用研究进展[J].护理学报，2019，26（7）：30-33.
|
| [5] |
郝素娟，杨菊英，沈翠玲，等.恶性肿瘤患者生活质量与心理痛苦的相关性分析[J].中西医结合护理（中英文），2018，4（5）：100-103.
|
| [6] |
李颖，李香玉，张晓磊.原发性肝癌患者的生活质量研究现状[J].中国卫生产业，2016，13（11）：193-195.
|
| [7] |
Carlson LE，Bultz BD.Cancer distress screening，needs，models，and methods[J].Psychosom Res，2003，5（5）：403-409.
|
| [8] |
陈洁，陈锦妹，赵晓慧，等.肿瘤放疗患者心理痛苦评估及其影响因素分析[J.中华放射肿瘤学杂志，2019，28（10）：758-761.
|
| [9] |
潘钢火，鲁晓明.中国癌症分布以及影响因素的研究进展[J].首都师范大学学报（自然科学版），2016，37（1）：56-60.
|
| [10] |
余敏，路孝琴.老年晚期癌症患者生命质量及其影响因素的研究[J].中华全科医师杂志，2017，16（2）：118-121.
|
| [11] |
姚爱春.青年癌症患者心理韧性影响因素分析及护理[J].齐鲁护理杂志，2016，22（16）：92-93.
|
| [12] |
丁娜.恶性肿瘤患者死亡焦虑及影响因素研究[D].合肥：安徽医科大学，2016.
|
| [13] |
李江峰，庞宝华.癌症患者睡眠状况及其相关因素调查[J].延安大学学报（医学科学版），2017，15（1）：14-16.
|
| [14] |
曾燕华，高利臣，席明霞，等.癌症患者灵性状况调查及影响因素分析[J].中国实用护理杂志，2018，34（36）：2837-2842.
|
| [15] |
盛月红.初诊原发性肝癌手术患者心理弹性现状及其影响因素[J].解放军护理杂志，2017，34（20）：11-14.
|
|
|
|
